2022/11/09 Wildan Financial ServicesACORD'
t0t27i2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAIION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. IHIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PROOUCER. AND THE CERTIFICATE HOLDER.
PROoUcER Lockion Insurance BrokeIs,LLC
CA License #0F15767
777 S. Frguerca Slreet, 52nd fl.
Los Anoeles CA 90017
2'13-68u-0065 INSIIRERIS] AFFORDING COVERAGE
TNSURER A, TE!.16 h op.nr- C6uh, co of Amtut 2s671
rNsuRED WilldanFinancialservices
1506t I 8 27368 Via lndustria, Suite 200
Temecula, CA 92590
TNSURER 8 - A{.n wond Surpls Liffi lam. Cotrpuy lll lq
INSURER C
INSURER E
CERTIFICATE OF LIABILITY INSURANCE
CANCELLATION SeeAflachmenrs
o'r -20,1
I ti9i2023
CERTIFICATE HOLOER
18919663
C1t! of l\,4enifee
Atlir: TeriA W ouqhby
Frnance 0tector
29714 Haun Road
lMen fee CA 92586
SIIOULO ANY OF TT]E ABOVE OESCRIBED POLICIES BE CAIICELLEO BEFORE
THE EXPIRATION DATE THEREOF. NOTICE wlLL BE DELryERED IN
ACCOROANCE WITH THE POLICY PROVISIONS
AUTHORIZED REPR€SENTATIVE
tsto
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INOICATEO. NOTWLTIISTANDING ANY REQUIREMENT, TERM OR COND1TION OF ANY CONTRACT OR OTHER DOCUMENT WIIH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS STJBJECT TO ALL THE TER['S
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-
LIMITSTYPE OF INSURANCE
c 1.000.000EACI] OCCURRENCE
)AMAGE TO RENTEO s 1.000.000
[iED EXP (Any one oersor)$ 15.000
PERSONAL & AOV INJURY $ 1.000.000
$ 2.000.0006ENERAL AGGREGATE
PRODUCTS COMP/OP AGG $ 2.000.000
ll/9,10:2 I I '912011
5
COMMERCIAL GENERAL LIABILITY
oLATMS-MADE E OCCUR
GEN L AGGREGATE L M T APPLIES PER
x
Contr. Liab. lEcl.
x
Emn. Benefits Liab.
JECT
N P-610-7T0t6289 rtl,22
5 1.000.000E
BOOILY INJURY (Per peison)s xxxxxxx
BODILY INJURY (Peraccidenl $ xxxxxxx
$ xxxxxxx
$ xxxxxxx
N 810,7T0 r965A-21-.t]-G I l/9r20ll I1,9110:lAIJTOI'OBIL€ LIABILITY
OWNEOAUTOS ONLY
HIREOAUTOS ONLY
SCHEOULEDAIJTOS
NON.OWNEDAUTOS ONLY
x
EACH OCCURRENCE $ xxxxxxx
AGGREGATE $ xxxxxxx
U19BRELLA L|AB
EXCEsS LIAB
OCCUR
CLAIMS,MADE
s
NOT APPLICABLE
DEO RETENTION $\OTH.
$ I,000.000
s 1.000.000EL D SEASE, EA EMPLOYEE
q 1.000.000
N uB-7T02 l08A-t:-11,G I1,9,20:l 11,9l0llwoRxERs coMPENSAlror,r
AND EMPLOYERS' LABILITY
OFF CEF'MEMsER EXCIUOED'N
Pcr Claim:S1.000,000
AgSreSare:S:,000.000\N 0111,5950 ll 9 20t:u 9 totlII
OESCRTPTTON OF OPERATTONS / LOCATTONS / VEHICLES (ACORO 101, Additional R.harts Sch.dur., may bo anachrd lr mor. rprc. l. rsquiEd)
Re DisclosDrc smrce\ Crw of Menifee- its omcers. omcials. dircctors. emDlovees. desrsnaled asents. and aDDoinied volunleers are included rs
addrtronal Insured as rcsDeci' ro Gencml Lrabrl,rv and Auro L,abrliry {TtMECIJLA, GenEral Lrabllity policy iicludcs clarms ansrnE oDl of rhc
performancc ofprol'essrdnal .ervrces. lndependcrit Conlracrors are iicluded as respecls lo General Liabilit).
ACOR0 2s (2016/03)
The ACORD name and logo are registered marks of ACORD
RPORATION. All rights reserved
IMPORTANT: lf the conricate holder is an ADDITIONAL ltlSURED, the policy(ies) must have ADDITIONAL INSUREO provblons or b€ ondorsed.
lf SUBROGATIOT{ lS IVAIVED, subjecl lo the torms and condltlons of tho policy, cortain policies may requir€ an sndorsemont. A statement on
this ceffficat€ does not confer rights to the certificate holdsr in lieu of such endorsement(s).
x
x
lTl .o.
Lockton lnsurance Brokers,LLC
CA License #0F 15767
777 S. Figueroa Street, 52nd fl.
Los Angeles CA 90017
213-689-0065
E!.tr
1oz ,10 - Q17799 - 1039 1764
18919663
CITY OF MENIFEE, ATTN TERRI A. WILLOUGHBY
FINANCE DIRECTOR
29714 HAUN RD
l\4ENtFEE CA 92586-6540
rltr, trltllrtllI r, tlt,, tt,, t,,, tt tlt, ttll,,,l,, t l , ! 1,,,,,
l;1,a
Attachmcnt (ode: D604165 Cerlificate ID 18919661
POLICY NUMBER; P- 530-7T016289 -IrL-22 COIVIVERCIAT GENERAL LIABIL,ITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY-
BLANKET ADDITIONAL INSURED . WRITTEN
CoNTRACTS (ARCHITECTS, ENGINEERS AND
SURVEYORS)
F:',;!Iti
This endorsement modifies insurance provided under the following
COMIVERCIAL GENERAL LIABILITY COVERAGE PART
plies only to such "bodily injury" or "property
damage" that occurs before the end of the pe-
dod of time for which the "written contract re-
quiring insurance" requires you to provide
such coverage or the end of the policy period,
whichever is earlier.
2. The following is added to Paragraph 4.a. of SEC-
TION IV - COMMERCIAL GENERAL LIABILITY
CONDITIONS:
The insurance provided to the additional insured
is excess over any valid and collectible "other in-
surance", whother primary, excess, contingent or
on any other basis, that is available to the addi-
tional insured for a loss we cover. However, if you
speciflcally agree in the "written contract requiring
insurance" that this insurance provided to the ad-
ditional insured under this Coverage Part must
apply on a primary basis or a primary and non-
contributory basis, this insurance is primary to
"other insurance" available to the additional in-
sured which covers that person or organizatron as
a named insured for such loss, and we will not
share with that "other insurance". But this insur-
ance provided to the additional insured still is ex-
cess over any valid and collectible "other insur-
ance". whether primary, excess, contingent or on
any other basis, that is available to the additional
insured when that person or organization is an
additional insured under any "other insurance"
3. The following is added to SECTION lV - COM-
MERCIAL GENERAL LIABILITY CONDITIONS:
Duties Of An Additional lnsured
As a condition of coverage provided to the addi-
tional insured:
The additional insured must give us written
notice as soon as practicable of an "occur-
rence" or an offense which may result in a
claim. To the extent possible, such notice
should include:
B
a
cG D4 14 04 08 @ 2OOB The Travelers Companies, lnc Page 1 of 2
1. The following is added to SECTION ll - WHO lS
AN INSURED:
Any person or organization that you agree in a
"written contract requiring insurance" to include as
an additional insured on this Coverage Part, but:
a. Only with respect to liability for "bodily in1ury",
"property damage" or "personal injury"; and
b. lf, and only to the extent that, the injury or
damage is caused by acts or omissions of
you or your subcontractor in the performance
of "your work" to which the "written contract
requiring insurance" applies. The person or
organization does not qualify as an additional
insured with respect to the independent acts
or omissions of such person or organization .
The insurance provided to such additional insured
is limited as follows:
c. ln the event that the Limits of lnsurance of
this Coverage Part shown in the Declarations
exceed the limits of liability required by the
"written contract requiring insurance", the in-
surance provided to the additional insured
shall be limited to the limits of liability required
by that "written contract requiring insurance".
This endorsement shall not increase the Ii mits
of insurance described in Section lll - Limits
Of lnsurance.
d. This insurance does not apply to the render-
ing of or failure to render any "professional
services" or construction management errors
or omissions.
e. This insurance does not apply to "bodily in-
jury" or "property damage" caused by "your
work" and included in the "products-
completed operations hazard" unless the
"written contract requiring insurance" specifi-
cally requires you to provide such coverage
for that additional insured, and then the insur-
ance provided to the additional insured ap-
AttachDenl Code : D604165 Cenificate ID : ltl9l9663
COMMERCIAL GENERAL LIABILITY
i. How, when and where the "occurrence"
or offense took placei
ii. The names and addresses of any injured
persons and wilnesses; and
iii. The nature and lomtion of any injury or
damage arising out of the "occurrence" or
offense.
b. lf a claim is made or "suit" is brought against
the additional insured, the additional insured
must;
i. lmmediately record the specifics of the
claim or "suit" and the date received; and
ii. Notify us as soon as practicable.
The additional insured must see to it that we
receive written notice of the claim or "suit" as
soon as practicable.
c. The additional insured must immediately send
us copies of all legal papers received in con-
nection with the claim or "suit", cooperate with
us in the investigation or settlement of the
claim or defense against the "suit", and oth-
erwise comply with all policy conditions.
d. The additional insured must tender the de-
fense and indemnity of any claim or "suit" to
any provider of other insurance which would
cover the additional insured for a loss we
cover. However, this condition does not affect
whether this insurance provided to the addi-
tional insured is primary to that other insur-
ance available to the additional insured which
covers that person or organization as a
named insured.
4. The following is added to the DEFINITIONS Sec-
tion:
"Written conlract requiring insurance" means that
part of any written contract or agreement under
which you are required to include a person or or-
ganization as an additional insured on this Cover-
age Part, provided that the "bodily injury" and
"property damage" occurs and the "personai in-
jury" is caused by an offense committed:
a. After the signing and execution of the contract
or agreement by you;
b. While that part of the contract or agreement is
in effect: and
c. Before the end of the policy period.
Page 2 of 2 O 2008 The Travelers Companies, lnc cG D4 14 04 08
POLICY NUN4BER: P-630-7T01628 9 -TaL-22
Attachment Code D603994 Cenificate ID : 18919663
ISSUE DATE: 10-7a-22
THIS ENDORSEMENT CHANGES THE POL.ICY. PLEASE READ IT CAREFULLY.
DESIGNATED PERSON OR ORGANIZATION - NOTICE OF
CANCELLATION PROVIDED BY US
This endorsement modifies insurance provided under the following:
ALL COVERAGE PARTS INCLUDED IN THIS POLICY
SCHEDULE
CANCELLATION: Number of Days Notice:30
PERSON OR
ORGANIZATION: ANY PERSON OR ORGANIzATIoN To WHoM YoU
HAVE AGREED IN A WRITTEN CONTRACT THAI
NOTICE OF CANCELLATION OE THIS POLICY
WILL BE GIVEN, BUT ONIY IEI
2
YOU SEND US A WRITTEN REQUEST TO
PROVIDE SUCH NOTICE, INCI,UDING THE
NAME AND ADDRESS OE SUCH PERSON OR
ORGANIZATTON, AETER THE EIRST NAMED
INSURED RECEIVES NOTICE FROM US OF
THE CANCELLATION OF THIS POLICY; AND
WE RECEIVE SUCH WR]TTEN REQIJESI AT
LEAST 14 DAYS BEFORE THE BEGINNING OF
THE APPLICABLE NUMBER OE DAYS SHOWN
1N THlS SC}IEDULE.
ADDRESS:
THE ADDRESS EOR THAT PERSON OR ORGANIZ-
ATION INCLIIDED TN SUCH ITRITTEN REQUEST
FROM YOT] TO I]S.
PROVISIONS
lf we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days
is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization
shown in such Schedule We will mail such notice to the address shown in the Schedule above at least the
number of days shown for Cancellation in such Schedule before the effective date of cancellation.
tL T4 05 05't9 @ 2019 The Travelers lndemnity Company. Allrights reserved Page 1 of 1
POLICY NU[,lBER: P- 630 - 7r0162I9-atr.-22
EIT